HomeMy WebLinkAboutPermit Permanent Sign SN-92-909 - 0355 PATCHEN PLACESIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date G' 19
Applicant / ATV.,1(,7 ,4f4
Office Copy
it Number /--)"� go
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No • Stre t
Town or City — i Slate IDh- - ..
Square footage of
Estimated cost
Name of Erector
Name of business
Town or City
Consent of Owner:
Height of Si
Date of erection
ne No.
The above named person .is duly authorized to make
application on my behalf. I believe the statements contained
herein are true the best of my knowledge.
Signature o �Cpplicant Signature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVED ! Date 30 ��---
Reason for rejection
Issued to
Fee Computatio��v Code Officer_-�-%�•�
Date so 19 7?,
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I� / This plan and all arrangements shown on it are the sole property CO 0 =
of Design Signs. Any form of reproduction of this plan in whole or in w ? m
part is prohibited. This plan is not to be used for the construction of o 0
DATE any design without first obtaining written permission from Design � o M
Signs. Ln LI
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